| R.G. Psychological Services, P.C. | |
|
303 Merrick Rd Suite 204 Lynbrook NY 11563-2501 | |
| (800) 725-6280 | |
| (800) 725-6380 |
| Full Name | R.G. Psychological Services, P.C. |
|---|---|
| Speciality | Psychologist |
| Location | 303 Merrick Rd, Lynbrook, New York |
| Authorized Official Name and Position | Kelly Labruzzo (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 8007256280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.G. Psychological Services, P.C. 303 Merrick Rd Suite 204 Lynbrook NY 11563-2501 Ph: (800) 725-6280 | R.G. Psychological Services, P.C. 303 Merrick Rd Suite 204 Lynbrook NY 11563-2501 Ph: (800) 725-6280 |
| NPI Number | 1720037427 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720037427 | NPI | - | NPPES |
| 01615874 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (New York) | Primary |
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